Thursday, October 12, 2017

21CC LCD Text (Section 4009)

https://www.congress.gov/bill/114th-congress/house-bill/34/text

SEC. 4009. IMPROVING MEDICARE LOCAL COVERAGE DETERMINATIONS.
(a) In General.--Section 1862(l)(5) of the Social Security Act (42
U.S.C. 1395y(l)(5)) is amended by adding at the end the following new
subparagraph:
``(D) Local coverage determinations.--The Secretary
shall require each Medicare administrative contractor
that develops a local coverage determination to make
available on the Internet website of such contractor and
on the Medicare Internet website, at least 45 days
before the effective date of such determination, the
following information:
``(i) Such determination in its entirety.
``(ii) Where and when the proposed
determination was first made public.
``(iii) Hyperlinks to the proposed
determination and a response to comments submitted
to the contractor with respect to such proposed
determination.
``(iv) A summary of evidence that was
considered by the contractor during the
development of such determination and a list of
the sources of such evidence.
``(v) An explanation of the rationale that
supports such determination.''.
(b) <<NOTE: 42 USC 1395y note.>> Effective Date.--The amendment
made by subsection (a) shall apply with respect to local coverage
determinations that are proposed or revised on or after the date that is
180 days after the date of enactment of this Act.

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About Me

Bruce Quinn MD PhD is an expert on health reform, innovation, and Medicare policy. He helps both large and small companies understand and overcome hurdles to commercialization, as well as craft business strategies for a changing environment. CONTACT Dr. Quinn through www.brucequinn.com. BACKGROUND: Dr. Quinn has worked in academic medicine, Accenture business strategies, and for the Medicare program. EDUCATION: Stanford MD/PhD, MIT Postdoc, Kellogg MBA.